Individual
SANDRA MARY OEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
2795 PILOT KNOB RD, SUITE 300, EAGAN, MN 55121-1176
(651) 379-9999
(651) 379-9900
Mailing address
4689 GLENBROOK AVE N, OAKDALE, MN 55128-2321
(612) 863-8563
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20020486
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202377
MEDICA
MN
01
—
1202377
MEDICA
—
05
—
13837
—
ND
01
—
142732
UCARE
MN
01
—
2273311
SELECT CARE
—
01
—
312J3OE
BLUE CROSS BLUE SHIELD
—
01
—
321J30E
BCBS
MN
01
—
968421032508
PREFERRED ONE
—
01
—
HP37239
HEALTH PARTNERS
—
Enumeration date
07/20/2006
Last updated
11/28/2007
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